Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.27 / $928.27 / $3,511.00	Facility		$928.27	$928.27	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.74 / $928.27 / $1,498.61	Professional		$752.74	$928.27	$1,498.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.72 / $1,958.66 / $2,448.32	Professional		$1,745.72	$1,958.66	$2,448.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.74 / $1,081.31 / $2,032.20	Facility		$752.74	$1,081.31	$2,032.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $726.59 / $1,385.65 / $2,298.63	Professional		$726.59	$1,385.65	$2,298.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,451.53 / $1,743.13 / $2,643.59	Facility		$1,451.53	$1,743.13	$2,643.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,117.82 / $1,722.30 / $2,289.09	Professional		$1,117.82	$1,722.30	$2,289.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $863.78 / $1,214.91 / $1,629.54	Professional		$863.78	$1,214.91	$1,629.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.23 / $1,320.29 / $2,220.90	Professional		$799.23	$1,320.29	$2,220.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,588.10 / $1,943.10 / $1,943.10	Professional		$1,588.10	$1,943.10	$1,943.10